DYNAMIC RETINA VESSEL COLOR CHANGE DURING OCULAR COMPRESSION IN SEVERE LIPEMIA RETINALIS

Maria Benson1, Robert W Wong1,2, Ryan C Young1,3

  • 1Austin Retina Associates, Austin, Texas.

Insights

Dynamic color change in infant retinal vessels from white to coral pink was observed due to lipemia retinalis. This finding links disrupted laminar flow to altered blood appearance in familial hyperlipoproteinemia.

Area of Science:

  • Ophthalmology
  • Genetics
  • Pediatrics

Background:

  • Lipemia retinalis presents as milky-white retinal vessels.
  • Familial hyperlipoproteinemia can cause severe lipid abnormalities in infants.

Observation:

  • A 6-week-old infant with type 1b familial hyperlipoproteinemia exhibited lipemia retinalis.
  • Externally applied ocular pressure induced a dynamic color change in retinal arteries from white to coral pink.

Findings:

  • Genetic analysis identified a rare mutation in the APOC2 gene.
  • The observed color change is attributed to disrupted laminar flow and intermixing of erythrocytes and chylomicrons.

Implications:

  • This study is the first to describe this specific retinal vessel color change mechanism in lipemia retinalis.
  • Highlights a rare case of congenital hyperlipidemia in nonconsanguineous offspring.
Abstract

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